Individual provider Active NPI

Laurie Nystrom Patton, MS LIMHP LPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1083754956
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1053 Issued in NE
Practice address
1919 S 40TH St
Suite 312
Lincoln, NE 68506-5243
Phone
(402) 475-5069
Fax
(402) 475-2350
NPI assigned
Feb 8, 2007
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1053 NE Primary
Professional Counselor 101YP2500X 333 NE

Addresses

Primary practice location

1919 S 40TH St
Suite 312
Lincoln, NE 68506-5243

Mailing address

1919 S 40TH St
Suite 312
Lincoln, NE 68506-5243
Phone (402) 475-5069

Other identifiers 1

IdentifierTypeStateIssuer
10025820300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229001388 NE Practitioner - Mental Health Counselor 8921458167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy Associates of Lancaster County, PCGroup PAC ID 6406035328, 9 clinicians

Practice addresses (Care Compare)

1919 S 40TH St
Suite 312
Lincoln, NE 68506-5247
Phone (402) 475-5069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1053NEMDPhysician Assistant
333NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of Lancaster County, PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1919 S 40th St
Ste 312
Lincoln, NE 68506
Phone (402) 475-5069

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1083754956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 312",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-475-5069",
            "fax_number": "402-475-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 312",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-475-5069",
            "fax_number": "402-475-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "LAURIE",
        "middle_name": "NYSTROM",
        "credential": "MS LIMHP LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1053",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025820300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.